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General NPI Number Information
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NPI Number | 1760190557
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Entity Type | Individual
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Provider Name | WHITNEY SIMONS
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN STE 610
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City | DALLAS
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State | TX
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Zip | 75231-3815
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Country | US
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Telephone | 214-345-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 W NORTHWEST HWY APT 1263
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City | DALLAS
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State | TX
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Zip | 75220-5110
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Country | US
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Telephone | 785-764-6357
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16513
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License Number State | TX
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